Request for Immediate Threat 2025

1. Click ‘Get Form’ to open the Request for Immediate Threat in our editor.
2. Begin by filling out the 'Incident and Operator Information' section. Enter the 'Date of Request', 'Name of Operator', and 'Date of Incident'. Ensure all fields are completed accurately.
3. Provide the 'License #' and 'Incident Location' details, including the city and state. Don't forget to include the operator's date of birth and address information.
4. In the summary section, describe the incident that led to this request. Attach any supporting documentation directly within our platform for easy submission.
5. If applicable, check the box indicating if this request is related to a medical incident. Complete the signature fields with printed names as electronic signatures for both the Police Chief/Authorized Person and Police Officer.
6. Finally, confirm that you have attached all necessary documentation by checking the appropriate box before saving your completed form.

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